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<s>[INST] bilateral lung volumes are lower. since yesterday, mild-to-moderately severe pulmonary edema has significantly improved. however, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged. the lung effusions and atelectasis obscuring the mediastinal border, thus assessment of the cardiomediastinum was limited.What are the key findings of this report? [/INST] over last <num> hours, mild pulmonary edema has significantly improved, moderate right and small left pleural effusion as well as bilateral lower lung atelectasis are unchanged. </s>
<s>[INST] moderate cardiomegaly is re- demonstrated. the aorta is tortuous. pulmonary vasculature is not engorged. patchy opacities are seen in the left lung base, potentially atelectasis but infection or aspiration cannot be excluded. streaky atelectasis is also demonstrated in the left lung base. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.What are the key findings of this report? [/INST] patchy left basilar opacity may reflect atelectasis, but infection or aspiration cannot be excluded in the correct clinical setting. </s>
<s>[INST] cardiac silhouette size remains mildly enlarged. the aortic knob is calcified. there is mild pulmonary edema with small bilateral pleural effusions, larger on the left. more focal opacity in the left lung base could reflect atelectasis, but pneumonia is not excluded. no pneumothorax is present. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] mild pulmonary edema with small bilateral pleural effusions, larger on the left. more focal left basilar opacity could reflect atelectasis but infection is not excluded. </s>
<s>[INST] the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. calcifications are seen within the aortic arch. clips are seen within the right upper quadrant.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] lung volumes are low. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] the patient is status post median sternotomy and cabg. heart size appears mildly enlarged but unchanged. mediastinal and hilar contours are similar. no pulmonary edema is present. a moderate size left pleural effusion is present along with a small right pleural effusion, both of which have increased in size compared to the previous study. patchy opacity in the left lung base likely reflects compressive atelectasis. no pneumothorax is detected. there are mild degenerative changes noted in the thoracic spine.What are the key findings of this report? [/INST] small right and moderate-sized left pleural effusions, increased in the interval. compressive left basilar atelectasis. </s>
<s>[INST] compared to <unk>, pulmonary vascular congestion has slightly worsened. no acute focal consolidation. no pleural effusions.mild cardiomegaly.What are the key findings of this report? [/INST] mild pulmonary edema, mild cardiomegaly. </s>
<s>[INST] an endotracheal tube is terminates in the lower trachea. a right ij central venous catheter extends into the upper right atrium. the nasogastric tube terminates in the stomach. stable retrocardiac airspace opacification is likely due to a combination of atelectasis and infection. the left costophrenic angle has been excluded from the field of view. however, a small left pleural effusion is essentially unchanged. the previous right pleural effusion has decreased with improved aeration of the right lower lobe. bilateral perihilar airspace opacities have decreased since the prior exam.What are the key findings of this report? [/INST] improved aeration at the right base with stable retrocardiac atelectasis or infection. stable small left pleural effusion. lines and tubes in satisfactory position. </s>
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] the endotracheal tube tip is <num> cm above the carina. the left picc line terminates in the right atrium, and if desired, would need to be withdrawn at least <num> cm to be positioned in the low svc. no pneumothorax. there are moderate bilateral pleural effusions, obscuring the heart borders. the right effusion may be loculated, as fluid is not distributed diffusely and posteriorly and lung on this supine view. substantial left lower lobe atelectasis with leftward shift of the mediastinum is unchanged.What are the key findings of this report? [/INST] <num>. moderate bilateral pleural effusions, possibly loculated on the right. <num>. unchanged left lower lobe atelectasis. <num>. left picc line terminates in the right atrium and would need to be withdrawn at least <num> cm be position in the low svc, if desired. </s>
<s>[INST] there is an opacity in the right mid lung zone, which is concerning for pneumonia. there is no definite pulmonary edema. there is no pleural effusion or pneumothorax. the aorta is tortous and aneurysmal, unchanged from prior exams. the cardiac size is at the upper limits of normal.What are the key findings of this report? [/INST] new right mid lung zone opacity most consistent with pneumonia. </s>
<s>[INST] lungs are slightly hyperinflated. there is no consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are within normal limits. no acute osseous abnormality.What are the key findings of this report? [/INST] no acute cardiopulmonary process identified. </s>
<s>[INST] single portable chest radiograph is provided. right internal jugular central line catheter terminates in the right atrium. there is no pneumothorax. lung volumes are low, likely due to expiratory phase imaging. there is bibasilar atelectasis. cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] right internal jugular central line terminates in the right atrium. </s>
<s>[INST] there is no acute focal consolidation, pleural effusion, or pneumothorax. again seen is nodular opacity in the left upper lobe corresponding to calcified nodules seen on the recent chest ct. calcified pleural plaques are again noted. cardiomediastinal silhouette is stable. osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. mild-to-moderate cardiac enlargement persists and is unchanged. the same holds for the moderately widened and somewhat elongated thoracic aorta. pulmonary vasculature is not congested and no acute new pulmonary infiltrates are seen. as the patient is status post lower lobe wedge resection and mediastinal exploration, the presence of the previously described three fiducial markers in left-sided perihilar position are again noted and additional peripheral markers relate to the area of left lower lobe wedge resection. no new abnormalities have developed and the post-operatively seen local pleural thickenings along the lower left lateral chest wall and running suture lines in the diaphragmatic surface have decreased in size indicating scar formation. a mild local elevation of the left-sided hemidiaphragm at the area of the biopsy persists.What are the key findings of this report? [/INST] satisfactory regression of post-operative left-sided lower lung changes related to wedge resection. </s>
<s>[INST] pa and lateral views of the chest were obtained. heart is normal size and cardiomediastinal contour is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. no displaced rib fractures are identified.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
<s>[INST] pa and lateral chest radiographs were obtained. patient is slightly rotated to her left. allowing for this, the cardiomediastinal and hilar contours are within normal limits. lungs are clear bilaterally with no consolidation concerning for pneumonia. incidental note is made of eventration of the right hemidiaphragm. visualized osseous structures are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
<s>[INST] endotracheal tube is low lying, at the level of the carina and approaching the right mainstem bronchus. enteric tube tip is within the stomach. lung volumes are low. mild enlargement of cardiac silhouette is demonstrated. the aorta appears tortuous. pulmonary vasculature is not engorged. apparent widening of the superior mediastinum is likely due to supine positioning and low lung volumes. linear and streaky opacities in the lung bases most likely reflect areas of atelectasis. aspiration cannot be completely excluded. no large pleural effusion or pneumothorax is detected on this supine exam. the stomach demonstrates mild gaseous distention.What are the key findings of this report? [/INST] <num>. endotracheal tube tip at the carina, approaching the right mainstem bronchus orifice and should be retracted by approximately <num>cm. <num>. enteric tube tip within the stomach. <num>. streaky and linear opacities in the lung bases, likely atelectasis though aspiration cannot be completely excluded. </s>
<s>[INST] the lungs are hyperexpanded with flattening of both diaphragms compatible with copd/emphysema. bronchiectasis is visible in the right lung base. a right middle lobe opacity is unchanged from prior chest radiographs and ct. biapical pleural parenchymal scarring is noted. there is no significant pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits and unchanged. right-sided aortic arch is again noted. diffuse calcification of the tracheal tree is noted. the bones are diffusely demineralized. no displaced rib fractures are detected.What are the key findings of this report? [/INST] copd/ emphysema without acute abnormality. no displaced rib fractures detected. known right lower lung nodule better seen on prior ct scan. </s>
<s>[INST] ap upright and lateral views of the chest provided. the heart is moderately enlarged with an lv configuration. the lung volumes are low. there is no focal consolidation, effusion, or sign of overt chf. no pneumothorax is seen. cardiomediastinal contour is stable. no bony abnormalities are identified.What are the key findings of this report? [/INST] cardiomegaly, otherwise unremarkable. </s>
<s>[INST] the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. bibasilar linear atelectasis or scarring is present. pulmonary vasculature is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] an et tube is present, tip approximately <num> cm above the carina. left ij central line is present --<unk> tip partially obscured, but likely overlying the mid svc. no pneumothorax is detected. there is extensive somewhat patchy opacification of the right lung, with air bronchograms. there is a vascular plethora in the left lung.there is increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation. probable small right-greater-than-left effusions. biapical pleural scarring is present. a left-sided dual lead pacemaker is present, with lead tips over the right atrium and right ventricle. there is cardiomegaly. aortic calcification is present. osteopenia and scoliosis of the spine are noted, not fully evaluated.What are the key findings of this report? [/INST] <num>. et tube approximately <num> cm above the carina. left ij central line tip over mid svc. no pneumothorax detected. <num>. extensive opacification of the right lung, with air bronchograms. the differential diagnosis includes pulmonary edema, as chf is also seen the left lung, and infection or, in the appropriate clinical setting , ards. <num>. left lower lobe collapse and/or consolidation. <num>. bilateral right-greater-than-left effusions. </s>
<s>[INST] portable ap upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] tracheostomy tube remains in satisfactory position. there is stable marked cardiac and mediastinal enlargement. there is increasing moderate pulmonary edema. there are likely ayering small effusions, left greater than right. no definite pneumonia is appreciated. </s>
<s>[INST] pa and lateral views of the chest were obtained. consolidation of the left lower lobe. no pulmonary edema. no pneumothorax or pleural effusion. the cardiomediastinal silhouette is normal. no bony abnormalities. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] consolidation of the left lower lobe consistent with pneumonia given the patient's clincal symptoms. </s>
<s>[INST] frontal and lateral views of the chest demonstrate no evidence of focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. there are no upper rib fractures. the patient's known right-sided rib fractures are not apparent on this study. no large pleural effusion is seen. partially imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] the patient's known right-sided rib fractures are not apparent on these images. no associated pneumothorax. </s>
<s>[INST] the lungs are clear and the lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. blunting of the posterior diaphragmatic sulcus on the lateral view appears chronic. the heart is normal size. the mediastinal and hilar contours are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] frontal and lateral views of the chest were obtained. there is no definite consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette appears within normal limits aside from atherosclerotic calcifications along the aortic knob and descending aorta. there is no pleural effusion or pneumothorax. there is no free air below the right hemidiaphragm. the right seventh and eighth posterior ribs appear fractured, new from prior exam. there is a vascular stent partially imaged in the left upper arm.What are the key findings of this report? [/INST] acute fractures involving the right seventh and eighth posterior rib arches. no pneumothorax. </s>
<s>[INST] patient is status post median sternotomy and cabg. mild cardiomegaly is re- demonstrated. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. minimal patchy atelectasis is seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is demonstrated. moderate degenerative changes are noted within the thoracic spine.What are the key findings of this report? [/INST] apart from minimal bibasilar atelectasis, no acute cardiopulmonary abnormality. </s>
<s>[INST] the heart size is borderline enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable and the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no radio-opaque foreign bodies identified.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. no radio-opaque foreign bodies identified. </s>
<s>[INST] pa and lateral views of the chest provided. lungs are severely hyperinflated but clear. small right apical pneumothorax is new since prior study from <unk>. mediastinal and hilar contours are normal. right there is a tinyWhat are the key findings of this report? [/INST] new small right apical pneumothorax. </s>
<s>[INST] the lungs are well inflated. prominence of interstitial markings is unchanged. there is no nodule, consolidation, effusion, or pneumothorax. median sternotomy wires and mediastinal clips are stable. mild cardiomegaly is unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] ng tube has been repositioned, now with tip ending in distal gastric cavity. right base opacification has further increased. even thought it might still atelectasis, penumonia should be considered in the appropriate clinical settings. right pleural effusion is unchanged. cardiomediastinal silhouette is unchanged. there is no pneumothorax.What are the key findings of this report? [/INST] repositioning of ng tube, now with tip correctly ending in distal gastric cavity. further increase of right base opacity is concerning for pneumonia. stable right pleural effusion. findings were discussed with dr. <unk> at <num> a.m. by dr. <unk>. </s>
<s>[INST] there are minimal bibasilar atelectatic changes; otherwise, the lungs are clear. cardiac and mediastinal silhouettes are within normal limits. no acute fractures are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] ap and lateral radiographs of the chest demonstrates clear lungs. top normal to mild enlargement of cardiac silhouette is seen. the hilar and cardiomediastinal contours are otherwise normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. a large hiatal hernia with an air-fluid level is seen in the retrocardiac region.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. top normal to mild enlargement of cardiac silhouette. <num>. hiatal hernia. </s>
<s>[INST] the cardiomediastinal contours are stable, with a mildly tortuous aorta. the lung volumes appear lower compared to the prior exam; however, there does appear to be slight interval improvement of the moderate right pleural effusion. there is no evidence of a pneumothorax. there is increased atelectasis at the left lung base, otherwise the left lung is clear. note is made of an old rib fracture at the posterior sixth rib.What are the key findings of this report? [/INST] slight interval improvement of the moderate right pleural effusion. no evidence of a pneumothorax. </s>
<s>[INST] portable ap upright chest radiograph was provided. lungs are clear. no signs of pneumonia or chf. no effusion or pneumothorax. cardiomediastinal silhouette appears normal. previously noted central venous catheter is been removed. bony structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic findings. </s>
<s>[INST] the heart is mildly enlarged. the mediastinal and hilar contours appear within normal limits. there is a streaky linear opacity projecting over the left mid lung, probably within the lingula and suggestive of minor atelectasis or scarring. minimal subpleural thickening at each lung apex is also symmetric and suggestive of minor scarring. there is no pleural effusion or pneumothorax. no free air is identified. moderate degenerative changes are noted along the mid thoracic spine with small-to-moderate anterior osteophytes. moderate degenerative changes involve the right acromioclavicular joint. slight rightward convex curvature is centered along the lower thoracic spine.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease or free air. </s>
<s>[INST] the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] there is a new small left pleural effusion. a new left basilar retrocardiac airspace opacity may be due to infection or aspiration. mild cardiomegaly despite the projection is unchanged. there is no pneumothorax. stable prominent paratracheal soft tissues are likely due to an enlarged thyroid gland.What are the key findings of this report? [/INST] new small left pleural effusion. new left lower lobe airspace opacity may be due to atelectasis or infection. stable mild cardiomegaly. stable thyromegaly. </s>
<s>[INST] a semi-upright frontal view of the chest was obtained portably. the endotracheal tube ends <num> cm above the carina. the nasogastric tube ends at the gastroesophageal junction with the side port in the distal esophagus and could be advanced. there is no focal consolidation, pleural effusion or pneumothorax. pulmonary vasculature is slightly indistinct suggesting increased pulmonary vascular congestion without overt pulmonary edema. heart size is top normal. the aorta is tortuous. a left chest wall pacemaker leads project over the expected locations in the right atrium and right ventricle.What are the key findings of this report? [/INST] endotracheal tube ends in <num> cm above the carina. nasogastric tube ends at the gastroesophageal junction and could be advanced for better placement. </s>
<s>[INST] single portable upright frontal images chest. the lungs are hyperinflated. no focal mass is seen. calcified pleural plaques are again noted in the left lung laterally. the heart is top-normal in size. dense atherosclerotic calcifications are noted. degenerative changes and scoliosis are seen in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] pa and lateral views of the chest were provided. low lung volumes somewhat limit the assessment. there is no focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette appears grossly unremarkable. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
<s>[INST] a large area of consolidation in the right lower lobe has increased in size. and appears less well-marginated as compared to the <unk> radiograph. additionally, a new crest enteric lucency is observed along the superior margin and a rounded area of lucency is apparent along the inferior aspect. although difficult to assess on a portable chest radiograph, this may indicate areas of necrosis. cardiomediastinal contours are stable. small right pleural effusion is unchanged.What are the key findings of this report? [/INST] expanding right lower lobe consolidation with areas of internal lucency which may indicate necrosis from developing pulmonary abscess or pulmonary gangrene. consider ct of the chest for more complete evaluation if warranted clinically </s>
<s>[INST] no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no radiographic evidence of acute cardiopulmonary disease. </s>
<s>[INST] heart size is normal. mediastinal silhouette and hilar contours are unremarkable and are unchanged from <unk>. lateral view shows a <num>mm lung nodule or osteophyte projected over the lower thoracic spine, unchanged since <unk> when a chest ct was recommended. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. unresolved question of lower lung nodule. chest ct recommended. </s>
<s>[INST] frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. the lungs are clear. no pleural effusion or pneumothorax is evident.What are the key findings of this report? [/INST] normal chest radiograph. </s>
<s>[INST] the endotracheal tube ends <num> cm above the level of the carina. an enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. there is minimal bilateral lower lung atelectasis. the lungs are otherwise clear. the heart remains top normal in size. the descending thoracic aorta is tortuous, as before. there are no pleural effusions. no pneumothorax is seen.What are the key findings of this report? [/INST] <num>. no acute intrathoracic process. <num>. appropriately positioned endotracheal tube. </s>
<s>[INST] the tip of a right pectoral mediport projects over the right atrium. there is no pneumothorax. the lungs are clear. the heart appears prominent despite the projection. the mediastinal silhouette is stable.What are the key findings of this report? [/INST] clear lungs. </s>
<s>[INST] single upright view of the chest was obtained. small biapical pneumothoraces are newly visualized since the prior exam. there is no evidence for tension. bilateral pleural tubes are in similar position to prior. comparison of the size of bilateral pleural effusions is difficult due to positional differences, however the left effusion appears slightly increased, now moderate in size, and the right effusion appears slightly decreased. the cardiomediastinal silhouette is similar to the study <num> hours prior.What are the key findings of this report? [/INST] <num>. newly visualized small biapical pneumothoraces. <num>. change in pleural effusion size is difficult to assess due to positional differences. the left pleural effusion appears slightly increased, now moderate, and the right pleural effusion appears slightly decreased, still moderate. findings were communicated via phone call by <unk> to dr. <unk> at <time> on <unk>, five minutes after discovery of the findings at <time> p.m. </s>
<s>[INST] cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there is diffuse gaseous distention of the colon. no acute osseous abnormality is seenWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. diffuse gaseous distention of the colon. </s>
<s>[INST] pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no radiographic evidence of interstitial lung disease. </s>
<s>[INST] there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia. findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time>pm on <unk>, <num> minutes after the time of discovery. </s>
<s>[INST] heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lung volumes are low with streaky and linear opacities in the lung bases most likely reflective of atelectasis. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] low lung volumes with streaky and linear opacities in the lung bases most likely reflective of atelectasis. please note that infection is not completely excluded in the correct clinical setting. </s>
<s>[INST] heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. mild degenerative changes are seen in the thoracic spine. no displaced rib fractures are noted.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] an endotracheal tube is in appropriate position <num> cm above the level of the carina. the lungs are hypoinflated with crowding of vasculature. no pleural effusion or pneumothorax. the mediastinum is mildly widened measuring <num> cm however this study was re- read with the outside hospital ct scan up-loaded and the mediastinum is within normal limits. heart size and hila are unremarkable. no displaced rib fractures.What are the key findings of this report? [/INST] <num>. study was re-read once outside hospital ct scan was uploaded and apparent mediastinal widening is due to abundant mediastinal fat. <num>. although no fracture or other bone abnormality is seen, conventional chest radiographs are not appropriate for detection or characterization of chest cage lesions. any focal findings should be clearly marked and imaged with either bone detail views or ct scanning. </s>
<s>[INST] the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. the heart is at the upper limits of normal size. there is a similar infrahilar opacification suggesting atelectasis or scarring. more generally there is increased bibasilar opacification, but streaky and band-like in morphology, mostly suggestive of atelectasis or scarring with a suspected small left-sided pleural effusion.What are the key findings of this report? [/INST] bibasilar opacification, increased but non-specific. pneumonia is a consideration but the appearance could be compatible with atelectasis. correlation with a ct performed earlier on the same day is also more concordant with a noninfectious explanation, however. </s>
<s>[INST] right chest wall power injectable port-a-cath is present as well as a left picc line, both tips, projecting over the right atrium. a right pleural catheter projects over the right mid/lower hemithorax. there is no significant interval change in the moderate right pleural effusion with adjacent atelectasis. no pneumothorax identified. the left lung is clear. this size appearance of the cardiac silhouette is unchanged.What are the key findings of this report? [/INST] interval placement of a right chest tube which projects over the right mid to lower hemithorax. no significant interval change in the moderate right pleural effusion. </s>
<s>[INST] pa and lateral views of the chest were viewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well expanded without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] mild enlargement of the cardiac silhouette is again noted, unchanged. the mediastinal and hilar contours are similar. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] no displaced rib fracture is detected on these lung technique films. linear atelectasis is seen at the lung bases. there is a tortuous descending aorta. cardiac and mediastinal contours are otherwise within normal limits. there is no pleural effusion or pneumothorax. the pulmonary vascularity is normal. the right hemidiaphgram is elevated. clips are seen in the upper abdomen posteriorly.What are the key findings of this report? [/INST] <num>) minimal atelectasis. otherwise, no acute pulmonary process. <num>) no displaced rib fracture detected on these lung-technique films. </s>
<s>[INST] there is a dense, rounded, <num> x <num> cm opacity seen adjacent to the right first rib. this focus may represent calcification of the costochondral junction, or potentially a pulmonary nodule. the remainder of the lungs are essentially clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the lungs are noted to be hyperinflated. the heart size is normal. mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] <num>. no radiologic evidence for acute cardiopulmonary process. <num>. <num> x <num> cm rounded opacity overlying the right upper lobe. this may represent either a pulmonary nodule or potentially a calcification of the costochondral junction. findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time>pm <unk> <unk>, <unk> min after discovery. following discussion with dr. <unk>, <unk> team has decided to pursue a ct torso examination today to further evaluate this lesion. </s>
<s>[INST] ap and lateral views of the chest are compared to previous exam from <unk>. lungs are clear of consolidation. calcified granuloma is seen in the left mid lung laterally, unchanged. there is blunting of the posterior costophrenic angles suggestive of trace pleural effusions. cardiac silhouette is enlarged but stable compared to prior. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] trace bilateral pleural effusions, new since prior, otherwise no acute cardiopulmonary process. </s>
<s>[INST] the lungs are well inflated, with persistent biapical pleural thickening, right greater than left. rounded calcified opacities in the right upper lobe are stable. there is interstitial edema, slightly progressed since the prior. the cardiomediastinal silhouette is unremarkable. scarring or atelectasis is again noted in the left lung base. no pneumothorax or focal consolidation is seen. cholecystectomy clips are noted in the right upper quadrant.What are the key findings of this report? [/INST] interstitial edema, increased compared to the prior study. </s>
<s>[INST] frontal and lateral radiographs of the chest demonstrate nodular densities in the right lung which correspond to the nodule seen on the recent ct. the lungs are otherwise clear with no focal opacities. the cardiac and mediastinal contours are normal. no pleural abnormality is detected.What are the key findings of this report? [/INST] no acute infectious process. </s>
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] heart size is normal. the aorta is diffusely calcified. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. streaky atelectasis is noted in the lung bases. mild loss of height of a low thoracic vertebral body is of indeterminate age.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. mild compression deformity of a low thoracic vertebral body, of indeterminate age. </s>
<s>[INST] again seen is a right pleural drain, similar in position to the prior study. there is no evidence of pneumothorax. there is a tiny right pleural effusion. the cardiomediastinal and hilar contours are normal. multiple sclerotic lesions throughout the thoracic spine and compression deformities of multiple thoracic vertebrae are consistent with metastatic disease.What are the key findings of this report? [/INST] tiny right pleural effusion, decreased from the prior study. </s>
<s>[INST] single semi-erect frontal view of the chest was obtained. the right lung is clear. patchy left base opacity most likely represents atelectasis, though underlying aspiration is not entirely excluded. no pleural effusion or pneumothorax is seen. no pulmonary edema is seen. the cardiac silhouette is top normal. the aorta is calcified and tortuous.What are the key findings of this report? [/INST] patchy left base opacity most likely represents atelectasis, although underlying aspiration not excluded. </s>
<s>[INST] pa and lateral views of the chest were provided. lungs are clear. no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact.What are the key findings of this report? [/INST] no signs of pneumonia. </s>
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] frontal and lateral chest radiographs demonstrate stable cardiomediastinal and hilar contours. no cardiomegaly evident. there are new bibasilar opacification, left greater than right, which may be related to worsening chronic lung changes given the appearance of background emphysema; however, developing infectious process is a consideration. no pleural effusion or pneumothorax evident. no osseous abnormality evident.What are the key findings of this report? [/INST] background emphysematous changes. new bibasilar opacifications left greater than right may reflect worsening chronic lung disease, though a developing infectious process or aspiration are considerations. </s>
<s>[INST] a pacer is seen in the left anterior chest with intact leads in adequate position. median sternotomy wires and artificial valve are noted. the lungs are hyperinflated but demonstrate slightly decreased volumes compared to prior exams and mild bronchovascular crowding, likely reflecting suboptimal inspiratory effort. diffuse reticular opacities are seen bilaterally, consistent with known emphysematous changes in the lungs. there is no evidence of pulmonary edema. no consolidative opacity suggestive of pneumonia is seen. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia or pulmonary edema. no acute cardiopulmonary findings. <num>. hyperinflated lungs and diffuse reticular opacities, consistent with emphysema. </s>
<s>[INST] lung volumes are low, and there are small bilateral pleural effusions. heart size is top normal. there is central pulmonary vascular congestion, without pneumothorax or focal consolidation.What are the key findings of this report? [/INST] mild pulmonary vascular congestion. </s>
<s>[INST] subcentimeter lung nodules seen on prior chest ct on <unk> are below the resolution of the radiograph. there is blunting of the left costophrenic angle, likely from trace amount of pleural effusion. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged, compatible with dilated ascending aorta, which is better evaluated prior ct. right-sided infusion port terminates in mid to low svc.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] there is no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
<s>[INST] there is no significant interval change from the prior study. fiducial seen is projected over the right mid chest and there is a loculated complex effusion. there is evidence of a right apical lung mass with architectural distortion. this is consistent with prior radiation change. the known left upper lobe opacity is more difficult to see. the visualized osseous structures are grossly unremarkable.What are the key findings of this report? [/INST] no significant interval the right-sided effusion. extensive post treatment unchanged volume loss in the right side. </s>
<s>[INST] reticulation, bronchiectasis and opacification there has increased since <unk> consistent with worsening pulmonary fibrosis. no focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] pulmonary fibrosis has progressed since <unk>. no focal consolidation concerning for pneumonia. </s>
<s>[INST] cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] lung volumes are improved compared the prior study. the trachea is central. the cardiomediastinal contour is unchanged. the heart is not grossly enlarged. no pleural effusion, consolidation or pneumothorax seen. the visualized bony structures are unremarkable in appearance.What are the key findings of this report? [/INST] no acute cardiopulmonary process seen. </s>
<s>[INST] two views of the chest were obtained. scattered upper lung and more confluent left perihilar and bibasilar opacities are seen in a similar distribution to the previous examination and even more remote chest cts, compatible with the patient's known interstitial lung disease with interval increase in right-sided small pleural effusion with fluid tracking along the fissure and trace left effusion. on this background, a developing infectious process or sequelae of aspiration would be difficult to exclude in the right base. enlarged pulmonary artery is compatible with history of pulmonary arterial hypertension with otherwise normal heart size.What are the key findings of this report? [/INST] changes of chronic interstitial lung disease, likely related to the patient's known systemic sclerosis, with increased right effusion. infectious process or aspiration in the right base would be difficult to exclude on these images. findings were discussed with dr. <unk> at <time> on <unk> by phone by dr. <unk>. </s>
<s>[INST] portable semi-upright radiograph of the chest demonstrates proximal position of endotracheal tube terminating <num> cm above the carinal. this could be advanced for standard positioning. cardiomediastinal contours are stable. worsening pulmonary vascular congestion is accompanied by enlarging, now moderate right pleural effusion. adjacent right lower lobe atelectasis and or consolidation has also worsened. within the left lung, left retrocardiac opacity shows substantial improvement and a left pleural effusion has of essentially resolved.What are the key findings of this report? [/INST] improving aeration at left lung base. .worsening right pleural effusion with adjacent right basilar atelectasis and or consolidation. </s>
<s>[INST] the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.What are the key findings of this report? [/INST] normal chest radiograph. </s>
<s>[INST] et tube tip is <num> cm from the carina. enteric tube seen within the stomach. low lung volumes are noted with secondary bibasilar atelectasis. cardiomediastinal silhouette is within normal limits for technique and positioning. spinal stimulator seen at the lower thoracic level.What are the key findings of this report? [/INST] et tube tip <num> cm from the carina. consider slight retraction for optimal positioning. </s>
<s>[INST] there is a focal consolidation in the right upper lobe demarcated by the minor fissure located in the anterior segment. no pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] findings most consistent with right upper lobe pneumonia. discussed with dr. <unk> by dr. <unk> by phone at <time> p.m. on <unk>. </s>
<s>[INST] endotracheal tube remains in place with the tip projecting <num> cm cranial to the carina. there has been interval increase in size of the cardiac silhouette as well as distention of the mediastinal vasculature, compatible with congestion without interstitial edema. lung volumes are low with associated bibasilar atelectasis. a left picc remains in place with the tip projecting over the upper svc. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] central pulmonary vascular congestion, without frank edema. endotracheal tube and left picc are appropriately placed. </s>
<s>[INST] there is small left lower lobe consolidation. there is no effusion or pneumothorax. there is mild pulmonary vascular congestion and streaky left basilar atelectasis. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] small left lower lobe consolidation likely represents pneumonia. </s>
<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] ap portable upright view of the chest. an endotracheal tube is seen with its tip located approximately <num> cm above the carina. an ng tube extends into the left upper abdomen though the tip is positioned only <num> <num> cm beyond the ge junction. advancement may result in more optimal positioning. a left hilar mass is noted with volume loss and increased ground-glass opacity within the right lung most notable on the left mid and upper lung. findings are concerning for malignancy with postobstructive collapse and/or pneumonia and ct u is recommended to further assess. left lung is clear. chronic bilateral rib deformities are noted. no large effusion on this supine radiograph. no definite signs of pneumothorax. extensive thoracic spinal fusion hardware noted.What are the key findings of this report? [/INST] <num>. endotracheal tube tip positioned <num> cm above the carina. slight advancement may result in more optimal positioning. <num>. endogastric tube positioned with its tip just beyond the ge junction. advancement would result in more optimal positioning. <num>. right hilar mass with postobstructive collapse or pneumonia in the right lung. ct required for further assessment. </s>
<s>[INST] heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. left subclavian port-a-cath terminates at the cavoatrial junction.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] frontal and lateral views of the chest were obtained. the cardiac silhouette remains enlarged. the aorta is calcified and tortuous. the aortic knob appears top normal, stable since the prior study. there are low lung volumes. there is prominence of the perihilar interstitial markings bilaterally consistent with mild pulmonary edema. there has been interval removal of left-sided picc since the prior study. there is severe compression of a lower thoracic vertebral body, grossly stable as compared to <unk>. there appears to be blunting of the posterior left costophrenic angle which may be due to a pleural effusion.What are the key findings of this report? [/INST] low lung volumes and mild pulmonary edema. cardiomegaly. there appears to be blunting of the posterior left costophrenic angle which may be due to a pleural effusion. </s>
<s>[INST] there are low inspiratory volumes, significantly lower than on the most recent prior chest radiograph. allowing for this, the cardiomediastinal silhouette is probably similar in size. the left-sided pacemaker type device and right ij lines are similar in configuration. right-sided pleural drain is again noted, also similar in configuration. the previously seen right effusion is smaller. curvilinear lucency at the right lung base raises the question of a small pneumothorax at the right lung base versus <unk> artifact. some confluent opacity at the right lung base is compatible with residual collapse and/<unk> consolidation. the area of opacity questioned along the upper right chest wall on the most recent prior film is no longer visualized, likely represent artifact. as before, the left lung base is obscured obscured by the generator device. there is probably some subsegmental atelectasis at the right base, slightly more pronounced on the prior study. mild vascular plethora is present, likely accentuated by low inspiratory volumes.What are the key findings of this report? [/INST] considerable improvement in right pleural effusion. new linear lucency at the right lung base could reflect either a small pneumothorax <unk> <unk> artifact. residual collapse and/<unk> pneumonic consolidation at the right base is present. low inspiratory volumes. atelectasis at the left base probably slightly increased. mild vascular plethora, likely accentuated by low lung volumes. </s>
<s>[INST] heart size is normal. the mediastinal and hilar contours are unchanged with slight tortuosity of the thoracic aorta again noted. pulmonary vasculature is not engorged, and hilar contours are stable. ill-defined opacities within the left upper and lower lobes are new in the interval and concerning for pneumonia. the right lung is clear. no pleural effusion or pneumothorax is demonstrated. multiple compression deformities within the thoracic spine are relatively unchanged.What are the key findings of this report? [/INST] new ill-defined opacities within the left upper and lower lobes concerning for multifocal pneumonia. </s>
<s>[INST] cardiomediastinal and hilar contours are unchanged since the prior radiograph. lung volumes are somewhat low, but clear without pleural effusion or pneumothorax. no focal consolidation. unchanged linear peripheral opacities in the left upper lung may be due to scarring.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged including tortuosity and calcification along the aorta. the lungs appear clear. there are no pleural effusions or pneumothorax. severe degenerative changes involve the right shoulder.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
<s>[INST] patient is status post partial resection of the left lower lobe with persistent elevation of the left hemidiaphragm. a small left pleural effusion and moderate retrocardiac atelectasis is noted. at least two known nodules are visible in the right mid-lung, previously better assess on ct chest. calcifications are seen in the right hilum. an esophageal stent is new since <unk>. moderate cardiomegaly is unchanged. no pneumothorax. midline sternotomy wires are intact and well aligned.What are the key findings of this report? [/INST] <num>. small left pleural effusion with moderate retrocardiac atelectasis. no pneumonia. <num>. esophageal stent is new since <unk>. <num>. at least two known nodules are visible in the right mid-lung, previously assessed on prior ct chest. </s>
<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified, hypertrophic changes noted in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
<s>[INST] ap portable semi upright view of the chest. multiple overlying leads limit the assessment. the lungs are grossly clear. a retrocardiac opacity containing gas may represent a hiatal hernia. no overt signs of pneumonia. small right pleural effusion again noted. subtle opacity in the right mid lung at the site of multiple rib fractures likely represents chronic pleural thickening versus loculated pleural effusion. no convincing evidence for pulmonary edema. no pneumothorax. cardiomediastinal silhouette appears unchanged. no significant change from prior.What are the key findings of this report? [/INST] no significant change from prior. </s>